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Home My WebLink AboutPermit EL12-0979 - HARGENS RESIDENCEThis record contains information which is exempt from public disclosure pursuant to the Washington State Public Records Act, Chapter 42.56 RCW as identified on the Digital Records Exemption Log shown below. EL12 -0979 Hargens Residence 1355637 1h Avenue South RECORDS DIGITAL D- ) EXEMPTION LOG THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION F,age # Code Exemption � � �� Brief Explsnatoty Description, Statute /Rule The Privacy Act of 1974 evinces Congress' intent that Personal Information — social security numbers are a private concern. As such, individuals' social security numbers are Social Security Numbers redacted to protect those individuals' privacy pursuant 5 U.S.C. sec. DR1 Generally — 5 U.S.C. sec. to 5 U.S.C. sec. 552(a), and are also exempt from 552(a); RCW 552(a); RCW disclosure under section 42.56.070(1) of the 42.56.070(1) 42.56.070(1) Washington State Public Records Act, which exempts under the PRA records or information exempt or prohibited from disclosure under any other statute. Redactions contain Credit card numbers, debit card Personal Information — numbers, electronic check numbers, credit expiration 10 DR2 Financial Information — dates, or bank or other financial account numbers, RCW RCW 42.56.230(4 5) which are exempt from disclosure pursuant to RCW 42.56.230(5) 42.56.230(5), except when disclosure is expressly required by or governed by other law. HARGENS RESIDENCE 13556 37 AV S EL1 2-0979 City oaukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.TukwilaWA.gov Parcel No.: 1701000130 Address: 13556 37 AV S TUKW Project Name: HARGENS RESIDENCE ELECTRICAL PERMIT Permit Number: EL12 -0979 Issue Date: 10/16/2012 Permit Expires On: 04/14/2013 Owner: Name: HARGENS ANA MARIA Address: 13556 37TH AVE S #B13 , TUKWILA WA 98168 Contact Person: Name: ADAM SANGDER Address: PO BOX 1095 , WOODINVILLE WA, 98072 Contractor: Name: HILL ELECTRIC CORPORATION Address: PO BOX 1095 , WOODINVILLE WA 98072 -1095 Contractor License No: HILLEC *045B9 Phone: 425 485 -4321 Phone: 425 485 -4321 Expiration Date: 1/29/2014 DESCRIPTION OF WORK: UNIT 13: FIRE DAMAGE REPAIR Value of Electrical: NRES: $2,263.50 Fees Collected: $136.50 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: Permit Center Authorized Signature: I hereby certify that I have read and ex governing this work vpll be complied hether specified herein or not. National Electrical Code Edition: 2008 Date: tOtt Pit1- d this permit and know the same to be true and correct. All provisions of law and ordinances The granting of thi construction or terformance of work I am authorized to sign and obtain this electrical permit. ermit does not pres to give authority to violate or cancel the provisions of any other state or local laws regulating Signature: Print Name: Date: ld ) % ` t 2 This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. doc: EL -4/10 EL12 -0979 Printed: 10 -16 -2012 a• * *ELECTRICAL ** PERMIT CONDITIONS ^J Permit No. EL12 -0979 1: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector at each work site. 2: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector. 3: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter 296 -46B WAC. 4: When any portion of the electrical installation is to be hidden from view by permanent placement of parts of the building, such equipment shall not be concealed until it has been inspected and approved by the Electrical Inspector. 5: The issuance of an electrical work permit shall not be construed to be a permit for, or an approval of, any violation of the provisions of the electrical code or other ordinances of the jurisdiction. Permits or related documentation that presumes to grant this authority are therefore not valid. 6: Any change in the scope of work described by the electrical work permit shall require additional work permits. Where approved plans have been issued, revisions to the plans and additional review may be required. doc: EL -4/10 EL12 -0979 Printed: 10 -16 -2012 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No GU _ 0°1 Project No. Date Application Accepted: Date Application Expires: (For office use only) ELECTRICAL PERMIT APPLICATION Applications and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or by fax. * *Please Print ** SITE LOCATION King Co Assessor's Tax No.: Site Address: 13 5Yo 3 th f"k��- u.1 Suite Number: Floor: Tenant Name: CO(on f S-raye . Unt New Tenant: ❑ Yes ❑..No 110 I oo - 0220 22o PROPERTY OWNER Name: Adams .3c.xi3der Name: Acir m Maria,. R a t g e a.s City: ,W doairVt J i Lc, State: \A/A__ Zip: 4Z Address: 35 3 -7-1-y‘ A 1� k`J l; Email: 0--cia en's 1(�.k GfiC 2-C oc Q• C oc-c\ City: '�inkc�; ((o._ State: ,\.,, jp Zip: c i(o CONTACT. PERSON — person receiving all project communication Name: Adams .3c.xi3der Address: yo SorS 1 v q S City: ,W doairVt J i Lc, State: \A/A__ Zip: 4Z Phone: `(as _ki 2 3—1 Fax: 0SA4 R_ (43a0 Email: 0--cia en's 1(�.k GfiC 2-C oc Q• C oc-c\ ELECTRICAL CONTRACTOR INFORMATION Company Name: T 1 1 111 E-\- Cti'i C1 ,,p0 rcz ut T .x 109 S Address: Po � City: W000kiRd'1� State: �.I� Zip:c 0 2 Phone: 4 a-S -y E',5 -4 ' Fax: 42-S—y Leg a-C7 Contr Reg No.: FaLLEetotism Exp Date: i/ act/90)., Tukwila Business License No.: $U _ 099,.2 7c, 6,. Valuation of Project (contractor's bid price): $ of a (o3 • SO Scope of Work (please provide detailed information): Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes XNo Type of Use: M ..3.-Vi k—c, M. \'��Sk�21. o._` — �`t r - GC �+z Ckvf'S ,, \\ Type of work: ❑ New ❑ Addition ❑ Service Change X Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: Puget Sound Energy ❑ Seattle City Light H:UpplicationsWorms- Applications On Line12011 Applications\Electrical Permit Application Revised 8 -9 -I I.docx Revised: August 2011 bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $152.85 (including an attached garage) ❑ Garages, pools, spas and outbuildings $81.90 ea ❑ Low voltage systems (alarm, furnace thermostat) $59.85 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $81.90 (no added/altered circuits) ❑ Service change with added/altered circuits $81.90 number of added circuits $11.55 ea ❑ Circuits added/altered without service change $54.60 (up to 5 circuits) ❑ Circuits added/altered without service change $54.60 (6 or more circuits) $7.65 ea ❑ Meter /mast repair $68.25 ❑ Low voltage systems $59.85 (alarm, furnace thermostat) MULTI - FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $63.00 ❑ Temporary service (generator) $78.75 ❑ Manufactured /mobile home service $84.00 (excluding garage or outbuilding) ❑ Carnivals $78.75 Number of concessions $10.50 ea PERMIT APPLICATION NOTES - Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing and justifiable cause demonstrated. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJUR THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNE ORE ' CTRICAL CONTRACTOR: Signature: Date: LD --`�' a-- Q00/2'r 4 \ Day Tel ephone: 'L\ gS.i3D-\ Print Name: Mailing Address: V BOA 10 95 c.)41wr 11 Q- \Al Pc 9 .171—.2/ City state zip H:\ Applications \Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8-9-1 I.docx Revised: August 2011 bh Page 2 of 2 e r." wq� City of Tukwila ff�ti Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.TukwilaWA.gov Parcel No.: 1701000130 Address: 13556 37 AV S TUKW Suite No: Applicant: HARGENS RESIDENCE RECEIPT Permit Number: EL12 -0979 Status: PENDING Applied Date: 10/16/2012 Issue Date: Receipt No.: R12 -02863 Initials: JEM User ID: 1165 Payment Amount: $136.50 Payment Date: 10/16/2012 07:57 AM Balance: $0.00 Payee: HILL ELECLTRIC CORPORATION TRANSACTION LIST: Type Method Descriptio Amount Payment Check 21171 136.50 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 136.50 Total: $136.50 doc: Receiot -06 Printed: 10 -16 -2012 INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 R" Project:4ork. j iC iZf51 - Type of Inspection: Zoo Address:') % A i Date Called: Special Instructions: t ia-p � 1 D 1` �� ° ell /1 k- t Uk Date Wanted:. f /0 .m P. ' Requester: 1 Phone No: gApproved per applicable codes. El Corrections required prior to approval. COMMENTS: Date: 0 /10/13 n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Inspector: I Idelk INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: , r ` cis• Type of Inspection: 70 ®3 Addr r 's i s 13598 37Ait Date Called: U r 1 ' & trf Ax.)5 47.0 Special Instructions: - Date Wanted:. a.m. Requester: krCA d s PP Cr 1OA P Jt Q Phone No: pAppr:oved per applicable codes. Corrections required prior to approval. COMMENTS: 4 I It/ U r 1 ' & trf Ax.)5 47.0 (i-fiApi6i Id Ate—ZO I krCA d s PP Cr 1OA P Jt Q Inspector: Date: ()r it, LREINSPECTION FEE REQUIRED. Prior to next inspection. fed must be paid; at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople Prir Friendly Page • Electrical Contractor A business licensed by Lai to contract electrical work within the scope of its specialty. Electrical Contractors must maintain a surety bond or assignment of savings account. They also must have a designated Electrical Administrator or Master Electrician who is a member of the firm or a full -time supervisory employee. Business and Licensing Information Name HILL ELECTRIC CORPORATION UBI No. 601684223 Phone 4254854321 Status Active Address Po Box 1095 Suite /Apt. City Woodinville State WA Zip 980721095 County King Business Type Corporation Parent Company License No. HILLEC "045B9 License Type Electrical Contractor Effective Date 1/29/1996 Expiration Date 1/29/2014 Suspend Date Specialty 1 General Specialty 2 Unused Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status HILLE "137BA HILL ELECTRIC Electrical Contractor General Unused 1/1/1987 1/1/1997 Archived Master Electrician INFORMATION License HILL *RD964KG Name HILL, ROGER D Status Active Business Owner Information Name Role Effective Date Expiration Date HILL, CHERI L Impaired Date 01/01/1980 Received Date HILL, CHERI L Agent 01/01/1980 Until Released HILL, ROGER D President 01/01/1980 ELECTRICAL CITATION Bond Information No records found for the previous 6 year period Assignment of Savings Information Page 1 of 2 Savings Assignment of Savings Account Number Effective Date Release Date Assignment Type Impaired Date Amount Received Date 1 1/25/1996 Until Released Bond 10/8/2010 $4,000.00 ELECTRICAL CITATION Insurance Information No records found for the previous 6 year period Summons /Complaint Information Summons and Complaints are not filed with the department for this contractor type Warrant Information Warrants are not filed with the department for this contractor type Infractions /Citations Information Infraction / Citation Date RCW Code Type Status Violation Amount ESHA000414 10/8/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 ESHA000413 10/8/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EJONV01861 6/17/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 https://fortress.wa.gov/lni/bbip/Print.aspx 10/16/2012